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Otterbein At Maineville

201 Marge Schott Way, Maineville, OH 45039 · Non profit - Corporation · 60 certified beds · (513) 309-5650 Medicare & Medicaid certified

Call the home — (513) 309-5650 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$43,514 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has 1 actual-harm citation
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $43,514 in federal fines (most recent 2025-04-03)
  • nursing-staff turnover (60%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Urgent care / clinic
2091 W US Highway 22 and 3 · (513) 677-8866 · Call to confirm hours
Pharmacy
8872 Columbia Rd · (513) 677-1222 · Call to confirm hours
Grocery
Kroger1.3 mi
2900 W US Highway 22 and 3 · (513) 683-4001 · Call to confirm hours
Park
Fosters Landing Park · Typically dawn to dusk
Place of worship
7837 Old OH-3

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.2%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight4.4%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.6%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms5.0%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.8%3.2%3.3%better
Long-stay residents whose ability to walk worsened3.9%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication27.9%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.8%94.5%95.3%typical
Long-stay residents with pressure ulcers1.0%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control11.3%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table7.8%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine97.1%75.6%79.4%better
Short-stay residents rehospitalized after admission38.5%24.9%22.6%worse
Short-stay residents with an outpatient ER visit16.4%12.9%12.0%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 102 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.1%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
41.2%U.S. median 56.6%
Met the expected recovery
0.42U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 41.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 51 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.1%CMS range 47.7–64.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 7.8–15.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge41.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge37.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge41.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 4.0–12.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.911.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.76
RN hours/ resident / day
0.54
LPN hours/ resident / day
3.20
Aide hours/ resident / day
4.49
Total nurse hours/ resident / day
0.61
RN hoursweekends
59.6%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 53.1 residents a day — about 88% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.20 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.34 hrs/resident/day on weekends vs 4.56 on weekdays — 5% thinner on weekends. RN hours go from 0.82 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

7
deficiencies at the latest standard inspection (2025-04-03)
3
at the previous standard inspection (2022-06-02)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

32 citations, most serious first. The 13 most serious are shown; the remaining 19 are one tap away and print in full.

  • Immediate jeopardy · Kcited before2025-05-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, observation, staff and physician interview, review of hospital records, and policy review, the facility failed to ensure the residents environment remained as free from accident hazards as possible when the Heating, Ventilation, and Air Conditioning (HVAC) system malfunctioned causing the temperatures in House 150 to drop, and portable space heaters were placed in four resident rooms, which were prohibited. This resulted in Immediate Jeopardy and serious life-threatening physical harm and/or injuries when on 04/17/25, Resident #47 sustained a full thickness burn to the left outer calf from below the knee to the top of the left foot. Resident #47 was sent to the hospital to be evaluated on 04/25/25 and required hospitalization due to the severe burns that developed faecalis and Enterococcus (E.) faecium infection in the wounds. This affected one (Resident #47) of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Actual harm · G2025-12-16 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of facility Self-Reported Incidents (SRIs), staff interview, and policy review, the facility failed to provide a resident's food in the correct texture to meet individual needs per physician's orders for one (Resident #1) resident. This resulted in actual harm when Resident #1 choked on the food of incorrect texture which caused the need for cardiopulmonary Resuscitation (CPR) and hospitalization. This affected one (Resident #1) of three residents reviewed for specialized diets. The facility census was 50. Findings include: Record review revealed Resident #1 was originally admitted to the facility on [DATE] with diagnoses including type 1 diabetes, chronic obstructive pulmonary disease, dementia, personal history of transient ischemic attack, cerebral infarction, gastro-esophageal reflux disease, and anxiety disorder. Review of Resident #1's Minimum…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Past Non-Compliance
  • Actual harm · Gcited before2024-02-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interviews, and observation, the facility failed to ensure a resident was safely transferred using a mechanical lift (Hoyer). This resulted in Actual Harm when Resident #11 who was a paraplegic (paralysis of the legs), was transferred using the mechanical lift and the resident 's legs were not secured, subsequently hitting her right leg on the Hoyer bar sustaining a right lower leg fracture. This affected one (Resident #11) of three residents reviewed for accidents. The facility census was 50. Findings include: Review of the medical record for Resident #11 revealed an admission date of 06/13/22. Diagnoses included paraplegia, type two diabetes mellitus, and idiopathic peripheral autonomic neuropathy (damage of the peripheral nerves where cause cannot be determined). Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 was cognitively intact. Resident #11 was dependent on staff for bed mobility, toileting, dressing lower and upper…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    THIS IS AN INCIDENCE OF PAST NON COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, staff interviews, observation, and policy review, the facility failed to ensure portable space heaters were not utilized in resident rooms in when the facility Heating, Ventilation, and Air Conditioning (HVAC) system malfunctioned causing the temperatures in House 150 to drop. This affected five (Rooms #106, #107, #108, #109, and #110) of 12 resident rooms in House 150. The facility has five separate houses. Findings include: During an interview on 05/06/25 at 9:04 A.M., MC #404 found that the heat malfunctioned in a section of House 150 on or about 04/17/25. MC #404 stated he was not sure when the heat malfunctioned. The affected resident rooms were Rooms #106, #107, #108, #109, and #110. MC #404 stated that he was unable to fix the heat immediately and portable space heaters were placed in resident Rooms #106, #107, #108, and #110. MC #404 stated that he did not know where the portable space heaters came from, who placed them in the resident rooms, or what…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2025-04-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, staff interview, and menu review, the facility failed to have pasteurized eggs available for residents if requested over easy fried eggs. This had the potential to affect all 53 residents residing in the facility. The facility census was 53. Findings include: Observation on 03/31/25 at 11:39 A.M., with Certified Nursing Assistant (CNA) #345 revealed there was a 18 pack of eggs that were not pasteurized. Interview on 03/31/25, during observation, with CNA #345 reported that if a resident request over easy fried eggs then they will make them because it is available all the time item. Observation on 03/31/25 at 11:46 A.M., with CNA #293 revealed there was a three large trays of eggs that were not pasteurized. Interview on 03/31/25, during observation, with CNA #293 reported that if a resident request over easy fried eggs then they will make them because it is on the always available menu. Review of the Always Available Menu revealed that eggs of choice (scrambled, fried, or hard boiled) are available for breakfast.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, medical record review, policy review, resident interview, family interview and staff interview, the facility failed to provide clean and homelike environment. This affected two (#21 and #24) of 10 resident rooms reviewed for environment. The facility census was 53. Findings include: 1. Review of Resident #21's medical record revealed an admit date of 02/10/22, with diagnoses including: multiple sclerosis, gastro esophageal reflux disease, osteoporosis, and bipolar disease. Review of quarterly Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 14 with intact cognition. Interview on 04/01/25 at 9:36 A.M., with Resident #21's sister revealed concern about housekeeping. Revealing Resident #21's room had dirty carpet, and dirty bedside table while visiting on 03/31/35 which is a common occurrence. Sister reported that the room regularly looks unkept, with crumbs on the floor and stained bedding. Sister revealed that Resident #21's bathroom had dirty…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and Ombudsman notification list review, the facility failed to notify the Ombudsman of resident admissions to hospital. This affected two (#37 and #44) of four residents reviewed for hospitalization. The facility census was 53. Findings include: 1. Review of Resident #37's medical record revealed an admission date of 10/25/24, with diagnoses including depression, dementia, encephalopathy, and debility. Review of the State Optional Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #37 had severe cognitive deficits and required extensive assistance with activities of daily living. Review of nursing note dated 12/30/24, indicated Resident #37 experienced a sudden health condition change and was transferred and admitted to the hospital. 2. Review of Resident #37's medical record revealed an admission date of 07/17/24, with diagnoses including hypertensive kidney disease, vascular dementia, mood disorder, and aortic stenosis. Review of the State Optional…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to provided bed hold notices. This affected three (#37, #39 and #44) of four residents reviewed for hospitalization. The facility census was 53. Findings include: 1. Review of Resident #37's medical record revealed an admission date of 10/25/24, with diagnoses including depression, dementia, encephalopathy, and debility. Review of the State Optional Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #37 had severe cognitive deficits and required extensive assistance with activities of daily living. Review of nursing note dated 12/30/24, indicated Resident #37 experienced a sudden health condition change and was transferred and admitted to the hospital. Review of the medical record revealed there was no evidence of a bed hold being offered to Resident #37. Interview on 04/03/25 at 10:09 A.M., with the Administrator verified there was no bed hold for Resident #37. 2. Review of Resident #37's medical record revealed an admission…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to accurately assess the resident status in the facility. This affected one (#17) of four residents reviewed for discharge. The facility census was 53. Findings include: Review of the closed medical record for Resident #17 revealed she was admitted [DATE] and discharged [DATE]. Her diagnoses included anemia, type 2 diabetes, chronic kidney disease, chronic obstructive pulmonary disease, malignant neoplasm of lung, hypertension, osteoarthritis, glaucoma, obstructive sleep apnea, and gout. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed her Brief Interview of Mental Status (BIMS) score was 15 indicating she was cognitively intact. She required supervision for eating and maximal assistance for activities of daily living (ADLs). There was no evidence of a discharge MDS for her 10/23/25 discharge. Interview on 04/03/25 at 11:48 A.M., with the MDS Nurse (#326) confirmed there was no discharge MDS completed.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-03 · tag F0777 — isolated
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to notify the physician of stat (immediate) diagnostic imaging in a timely fashion. This affected one (#208) of one resident reviewed for radiology services. The facility census was 53. Findings include: Review of records for Resident #208 revealed an admission date of 03/16/25 with an admitting diagnoses of chronic obstructive pulmonary disease (COPD), seizures, anxiety, and polyneuropathy. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #208 had moderate cognitive impairment and required extensive assistance of one for toileting. Review of physician's orders revealed an order dated 03/26/25 for an urgent (stat) Kidney, Ureter, and Bladder x-ray (KUB) for abdominal pain. Review of results for KUB revealed examination date of 03/26/25 at 6:05 P.M. and facility reported date of 03/26/25 at 6:21 P.M., results included There was a moderate amount of rectal stool present. Review of progress notes from 03/26/25 to 03/31/25…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-03 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident interview, family interview, staff interview and policy review, the facility failed to assure dental services were provided in a timely manner to meet the needs of the resident. This affected one (#21) of three residents reviewed for dental care. The facility census was 53. Findings include: Review of Resident #21's medical record revealed an admission date of 02/10/22, with diagnoses including: multiple sclerosis, gastro esophageal reflux disease, osteoporosis, and bipolar disease. Review of quarterly Minimum Data Set assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 14 with intact cognition. Review of medical record revealed on 09/25/24 Resident #21 was experiencing jaw pain. Resident #21 alerted Licensed Practical Nurse (LPN) #262, she had fallen and hit her face on her snack cabinet. Resident #21 felt the fall lead to the jaw pain. Resident revealed she had not reported the fall to the staff. LPN #262 assessed resident's face and no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview and policy review, the facility failed to ensure incontinence care was provided correctly. This affected one (#23) of three residents reviewed for incontinence. The census was 53. Findings included: Medical record review for Resident #23 revealed an admission date of 09/15/24. Medical diagnoses included Alzheimer's disease and dementia. Review of the care plan dated 09/15/23 for Resident #23 revealed he had bladder incontinence related to activity intolerance and dementia. Intervention was to cleanse the perineum (peri) area after each incontinence episode. Wash, rinse, and dry perineum after each episode. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 was moderately cognitively impaired. He was frequently incontinent with his bladder and always incontinent with his bowel. Observation of incontinence care on 12/17/24 at 8:50 A.M. revealed Certified Nursing Aide (CNA) #82 washed hands and placed gloves on.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-06 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview and policy review, the facility failed to ensure residents were provided with dignity and respect. This affected one (#51) of three residents reviewed for dignity and respect. The census was 55. Findings include: Review of the medical record for Resident #51 revealed an admission date of 08/29/24. Diagnoses included dementia and atrial fibrillation. Review of the care plan dated 08/29/24 for Resident #51 revealed the resident displayed behaviors of feeling insecure in the environment and sometimes with care and yelling out for help. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #51 was moderately cognitively impaired. Observations of Resident #51 on 11/05/24 from 11:00 A.M. to 11:40 A.M. revealed the resident was in her room seated in a recliner and yelling out for help. Certified Nursing Assistant (CNA) #109 was observed in the common area. During this time, CNA #109 was observed sitting at the counter by the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · Dcited before2024-11-06 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, policy review and staff interview the facility failed to ensure consecutive documentation of no urine output from an indwelling catheter was reported to the physician. This affected one (#01) of three reviewed for urine output. The facility identified four residents with indwelling catheters in the facility. The facility census was 55. Findings included: Review of medical record Resident #01 revealed an admission date of 01/12/22. Medical diagnoses included obstructive and reflux uropathy, non-Alzheimer's dementia, malnutrition, and complete uterovaginal prolapse. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #01 was severely cognitively impaired. Review of the physician order for Resident #01 dated 08/01/24 revealed the resident was to have the urine output measured every shift. Review of the Certified Nursing Assistant (CNA) tasks documentation for Resident #01 revealed on 08/22/24 there was no urine output recorded for first shift…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review and staff interviews, the facility failed to ensure gloves were used in a sanitary manner to prevent infection. This affected one (#04) of three residents reviewed for indwelling catheters. The facility identified there were four residents with catheters in the facility. The census was 55. Findings included: Review of medical record for Resident #04 revealed an admission date of 09/05/24. Medical diagnoses included hypertension and neurogenic bladder. Resident #04 was active with hospice services. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #04 was severely cognitively impaired and had an indwelling catheter. Review of the care plan dated 09/05/24 revealed Resident #04 had an indwelling catheter and was on enhanced barrier precautions (EBP). Interventions were for staff to wear gown and gloves for high-contact resident care. During observation of catheter care for Resident #04 on 11/06/24 at 1:36 P.M. revealed Certified Nursing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-06 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of the facility policy, the facility failed to timely notify the physician of a resident's change in condition. This affected one (Resident #11) of three residents reviewed for notification of change. The facility census was 50. Findings include: Review of the medical record for Resident #11 revealed an admission date of 06/13/22. Diagnoses included paraplegia and type two diabetes mellitus. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 was cognitively intact. Resident #11 was dependent on staff for bed mobility, toileting, dressing, lower and upper body, transferring, and bathing. Review of the plan of care dated 06/23/22 revealed Resident #11 had paraplegia and bilateral lower extremities foot drop. Interventions included to protect the resident's feet per physician orders. Resident #11 was also at risk for nutrition related to diabetes mellitus and malnutrition diagnoses. Interventions included diet as ordered, take…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-06 · tag F0776 — isolated
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to timely obtain an x-ray of a resident's right lower extremity per physician orders. This affected one (Resident #11) of three residents reviewed for accidents. The facility census was 50. Findings include: Review of the medical record for Resident #11 revealed an admission date of 06/13/22. Diagnoses included paraplegia and type two diabetes mellitus. Review of the progress note dated 01/20/24 at 12:50 A.M. documented by Licensed Practical Nurse (LPN) #139 stated the nurse discovered a large yellow and purple bruise with small abrasions to the right lower leg from her knee to the bottom of her shin. On 01/22/24, Resident #11 went out for an outpatient Urethroscopy appointment and was subsequently held overnight for observation. Resident #11 returned to the facility on [DATE] at 3:30 P.M. Review of the progress note dated 01/23/24 at 8:30 P.M. revealed the nurse called the on-call physician for Resident #11's right lower extremity (RLE) was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-02 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, review of the facility's policy, and resident and staff interview, the facility failed to ensure a resident's contractures and hearing loss were accurately coded on the Minimum Data Set (MDS) assessment. This affected two (#16 and #34) of 12 residents reviewed for assessments. The facility census was 40. Findings include: 1. Review of the Resident #34's medical record revealed Resident #34 admitted to the facility on [DATE]. Diagnoses included type two diabetes mellitus with neuropathic arthropathy, other spondylosis with myelopathy, and muscle weakness. Review of the occupational therapy plan of care dated 04/15/22 revealed Resident #34 had functional deficits caused by bilateral hand contractures. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #34 was cognitively intact. Resident #34 was coded as not having any impairment of the upper extremity including the shoulder, elbow, wrist, or hand. Review of Resident #34's care plan…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-02 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to implement a high protein nutritional supplement order recommended for Resident #31. This affected one (Resident #31) of five residents reviewed for nutrition. The facility identified three residents with unplanned significant weight gain or loss. The facility census was 41. Findings include: Review of medical record for Resident #31 revealed an admission date of 10/27/16. Diagnoses included Parkinson's disease and type II diabetes mellitus. Resident #31 was admitted to hospice services on 01/26/22 for Parkinson's disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #31 had severely impaired cognition and required one person assistance for eating. Resident #31 had one stage one pressure ulcer (intact, reddened skin area) and one unstageable wound (slough and/or eschar: Known but not stageable due to coverage of wound bed by slough and/or eschar) not present upon admission. Review of the care plan…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-04-18 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, manufacturer drug information, Medscape Medication Management Standards, and facility Medication Storage Policy, the facility failed to ensure medications were stored properly and not expired. This affected seven Residents (#1, #16, #23, #28, #37, #38, #42,) of 15 whom resided in the 150 and 201 houses. The facility census was 48. Findings include: 1. Observation on 04/17/19 at 10:08 A.M., of Resident #16's medication storage cabinet with Registered Nurse (RN) #92 revealed an opened tube of Venelex ointment was stored next to oral medication packs. Interview at the time of the observation with RN #92 verified the ointment was stored directly next to oral medications. 2. Observation on 04/17/19 at 10:16 A.M., of Resident #38's medication storage cabinet with RN #92 revealed 24 unit dose vials of Albuterol inhalation solution 1.25 milligrams (mg) per three milliliters (ml) with an expiration date of December 2018 and one bottle of approximately 30 tablets of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-04-18 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of facility preplanned menu, review of recipe serving size, and review of residents ordered diets, the facility failed to ensure residents were served correct portion sizes. This affected ten Residents (#9, #16, #17, #19, #20, #36, #37, #38, #42, #44) whom consumed food from the 201 house kitchen. The census was 48. Findings include: Review of preplanned menu approved 04/05/19 revealed lunch for 04/17/19 included four ounces of sliced peaches, four ounces of cooked vegetable of the day, six ounces of bacon cheeseburger tater tots casserole, and eight ounces of milk. Review of facility recipe for bacon cheeseburger tater tots casserole revealed it produced 12 servings. Observation on 04/17/19 at 1:05 P.M. of lunch serving revealed sliced peaches were dished into small bowls with a tablespoon. Two cans of sliced peaches were utilized for 11 servings, and a visitor who was also eating lunch, and the bowls contained three sliced peaches each. Review of the can of sliced peaches revealed a serving size was four ounces and each can contained 3.5…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-04-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of facility Thawing Policy and Procedure, and review of State of Ohio Uniform Food Safety Code, the facility failed to ensure meat was thawed properly to prevent food contamination. This had the potential to affect ten Residents (#9, #16, #17, #19, #20, #36, #37, #38, #42, #44) whom ate food in the 201 house. The census was 48. Findings include: Observation on 04/17/19 at 10:33 A.M. revealed a three pound rolled package of ground beef in a pot of water in the sink. The top quarter of the ground beef roll was sticking out of the water and no water was running. Interview with State Tested Nursing Assistant (STNA) #73 at the time of the observation reported the three pound rolled package of ground beef was frozen solid when placed in the pot of cold water approximate 30 minutes ago, it was now thawed and STNA #73 was placing the meat in the refrigerator until prepared for lunch. STNA #73 verified the ground beef was in a cold pot of water without any running water. Interview on 04/17/19 at 10:48 A.M. with Diet Technician Registered (DT) #134…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-18 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure resident care information was not shared in an area where it could be overheard by others. This affected one (Resident #37) of 16 residents sampled. The facility census was 48. Findings include: Observation on 04/17/19 at 12:44 P.M. revealed Occupational Therapist (OT) #125 and Physical Therapy Assistant (PTA) #130 entered house 201. They were walking across the open common area towards a resident's room when State Tested Nursing Assistant (STNA) #74 spoke loudly and asked both OT #125 and PTA #130 if they were going to work with Resident #37 and then replied loudly with a smile on his/her face have fun. OT #125 and PTA #130 responded, from the other side of the common area, they had already attempted to work with Resident #37 earlier in the day. STNA #74, whom was located inside the open kitchen area, responded Resident #37 wouldn't even let the STNA toilet him/her. Observation of the common area revealed one visitor, looking at the staff members as they conversed, and four residents, located in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a written notice was provided to resident, resident representative of reasons for transfer to the hospital and provide the ombudsman with a copy of the notice. This affected three (Residents #12, #23 and #39) of three residents reviewed for hospitalization. The facility census was 48. Findings include: 1. Medical record review revealed Resident #12 was admitted to the facility on [DATE]. Review of a nursing progress note dated 03/07/19 at 10:03 P.M. revealed Resident #12 was transferred to the hospital for deviation of baseline. Review of nursing progress note dated 03/10/19 at 3:55 P.M. revealed Resident #12 returned back to the facility from the hospital. The medical record contained no documentation or evidence of issuance of a written notice of reasons for transfer to the hospital. 2. Medical record review revealed Resident #39 was admitted to the facility on [DATE]. Review of a nursing progress note dated 04/07/19 at 12:00 A.M. revealed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a written notice of duration of bed hold policy and permission for resident to return to the facility was provided to resident/resident representative upon transfer to the hospital. This affected three (Residents #12, #23 and #39) of three Residents reviewed for hospitalization. The facility census was 48. Findings include: 1. Medical record review revealed Resident #12 was admitted to the facility on [DATE]. Review of a nursing progress note dated 03/07/19 at 10:03 P.M. revealed Resident #12 was transferred to the hospital for deviation of baseline. Review of nursing progress note dated 03/10/19 at 3:55 P.M. revealed Resident #12 returned back to the facility from the hospital. The medical record contained no documentation or evidence of issuance of a written notice of the facility bed hold policy. 2. Medical record review revealed Resident #39 was admitted to the facility on [DATE]. Review of a nursing progress note dated 04/07/19 at 12:00…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-18 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to accurately care plan resident's information and focus. This affected two (Residents #10 and #23) of fourteen residents reviewed for care planning. Findings include: Review of Resident #10's medical record revealed an admission date of 02/19/14 with diagnoses including dementia with behavioral disturbances, insomnia, atrial fibrillation, ulcerative colitis, major depressive disorder, global anxiety disorder, heart disease, and asthma. The resident had a physician order for a functional maintenance plan, 15 minutes per day, dated 12/13/17. A significant change comprehensive assessment dated [DATE] revealed significant cognitive deficits, no behaviors, no depression, and need for extensive assist of one to two for all activities of daily living except supervision only for eating. Review of a care plan with a revised date of 03/05/18 revealed a focus of a functional maintenance plan, neck and shoulders range of motion daily with staff assistance. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to monitor nutritional interventions, involve resident/responsible parties in nutritional goals and failed to obtain daily weights as ordered. This affected two (Residents #23 and #5) of three residents reviewed for nutrition. The facility census was 48. Findings include: 1. Review of Resident #23's medical record revealed an admission date of 04/25/13 with diagnoses including peripheral vascular disease, epilepsy, heart failure, hypertension, diabetes, and cellulitis of left lower extremity. An annual comprehensive assessment dated [DATE] indicated Resident #23 had moderate cognitive impairment and was totally dependent on staff for bed mobility, transfers, toileting, dressing, required extensive assist of one for hygiene, and was supervision only for eating. Review of the weight records revealed the resident weighed 252 pounds on 10/01/18; 240 pounds on 01/01/19; and 225 pounds on 04/01/19. Review of Resident #23's intake record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-18 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and observation, the facility failed to reassess psychotropic medication for use beyond 14 days. This affected one (#10) of five residents reviewed for unnecessary medications. The facility identified 28 residents who receive psychotropic medications. The census was 48. Findings include: Review of Resident #10's medical record revealed an admit date of 02/19/14 with diagnoses including dementia with behavioral disturbances, insomnia, atrial fibrillation, ulcerative colitis, major depressive disorder, global anxiety disorder, heart disease, and asthma. A significant change Minimum Data Set assessment dated [DATE] revealed significant cognitive deficits, no behaviors, no depression, and need for extensive assistance of one to two for all activities of daily living except supervision only for eating. Review of a care plan dated 02/19/14 revealed problems of behaviors, nutrition, cognition, chronic pain, anxiety, and psychotropic medications. Review of Resident #10's physicians order revealed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and policy review, the facility failed to properly store confidential resident's records in secured area. This had to potential to affect all 48 residents in the facility. Findings include: Observation of the resident's den inside Building #250 on 04/18/19 at 12:00 P.M., revealed numerous stacks of residents confidential medical records being stored on the floor, on tables and throughout the room. Further observation revealed the room was not able to be secured and was accessible to anyone inside the building. Interview with the Administrator on 04/18/19 at 12:15 P.M., verified there were numerous stacks of residents medical records being stored throughout the resident's den. The Administrator also verified the resident's den was not able to be secured due to not having a lock on the door handle. The Administrator verified the resident's records were accessible to anyone inside the building. Interview with Quality Care Coordinator (QCC) #13 on 04/18/19 at 12:21 P.M. indicated she was responsible for the storage of resident's medical records. QCC…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and staff interview, the facility failed to properly clean a glucometer between resident uses. This affected one Resident (#1) of the six residents whom the facility identified as getting finger stick blood glucose (FSBG) checked in Building 150. Facility census was 48. Findings include: Review of the medical record for the Resident #1, revealed an admission date of 03/28/19. Diagnoses included, but not limited to diabetes mellitus, dysphagia, hypertension, thromocytopenia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 04/04/19, revealed the resident was cognitively intact and the Brief Inventory of Mental Status (BIMS) score was 14. The resident required limited assistance for Activities of Daily Living (ADLs) and supervision for eating. Review of physician orders dated 03/29/19, revealed resident was to get Novolog Insulin per a sliding scale which was according to his FSBG being done before meals and at bedtime. During observation of FSBG checks in House #150 on 04/17/19 at 8:32 A.M., Registered Nurse (RN) #92, completed a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2022-06-02 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of the facility's policy, and staff interview, the facility failed to notify the Office of the State Long-Term Care Ombudsman of a resident's discharge from the facility. This affected two (#34 and #35) of four residents reviewed for hospitalization. The facility census was 40. Findings include: 1. Review of the Resident #34's medical record revealed Resident #34 was admitted to the facility on [DATE]. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #34 was cognitively intact. The medical record revealed Resident #34 was discharged to the hospital on [DATE]. Review of Resident #34's progress note dated 04/20/22 revealed Resident #34 was readmitted from the hospital. Review of Resident #34's medical record revealed Resident #34 was given a bed hold notice dated 04/18/22. There was no documentation the Ombudsman was notified of Resident #34's discharge to the hospital. Interview on 06/02/22 at 8:04 A.M. with Assistant [NAME] President…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has plan of correction
  • No harm found · C2019-04-18 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure State Tested Nurses Aides (STNAs) had performance reviews and 12 hours of annual in-services. This affected two STNAs (#8 and #21) of the four STNAs reviewed with the potential to affect all 48 residents residing in the facility. Findings include: Review of personnel files on 04/18/19 at 3:00 P.M., revealed STNA #8 did not have 12 hours of annual in-services. Further record review revealed STNA #21 did not have evidence of receiving an annual performance evaluation or receiving 12 hours of annual in-services. During interview with Business Office Coordinator (BOC) # 94 on 04/18/19 at 3:10 P.M., verified STNA #8 did not have 12 hours of in-services. BOC #94 also verified STNA #21 did not have evidence of receiving an annual evaluation or receiving 12 hours of annual in-services.

    Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$43,514 in federal fines across 3 penalties.

  • $17,345 — penalty dated 2025-04-03
  • $17,345 — penalty dated 2025-04-03
  • $8,824 — penalty dated 2024-02-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to OTTERBEIN SENIORLIFE — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.2-0.2 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 4 of 53.2+0.8 vs chain
Quality measures 4 of 54.1≈ chain avg
The other 19 homes this chain runs (chain average 3.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
OTTERBEIN NEIGHBORHOODS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/2016
OTTERBEIN HOMEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 12/01/2021
OSTENDORF, BRANDYIndividualCORPORATE DIRECTORsince 03/12/2018
ARNOLD, DANIELIndividualCORPORATE OFFICERsince 09/03/2017
GREEN, JAMESIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 11/21/2005
WILSON, JILLIndividualCORPORATE OFFICERsince 05/01/2009
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/03/2025
APP, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
BARTLETT, VICTORIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
BAYLIFF, BECKYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
BROWNSON, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
BURKE, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
COLEMAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
FRALEY, RALPHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
GLOSSER, HEIDIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
HAZELBAKER, TOMASIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
KLESPIES, KATHLEENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/20/2022
NELSON, NAVEENAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
VONDERHAAR, STEVEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2021
BAKER, STEVEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
GALBUT, ABRAHAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
GALBUT, DANIELIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/06/2025
GALBUT, DAVIDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
GALBUT, ERICIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
GALBUT, ROBERTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
PARITZKY, JONATHANIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
ROMBRO, DAVIDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
ZISEK, TODDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/04/2025
POLARIS PHARMACY SERVICES OF OHIO LLCOrganizationADP OF THE SNFsince 12/01/2018

CMS files one row per role, so the 35 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$7.2M
Net patient revenuemost recent cost report
+2.9%
Operating marginrevenue minus expenses
$357K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 22%Medicare 10%Other / private 68%

This home reported $357K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$342per resident / day
operating cost
$10,388per month
≈ monthly operating cost
$352per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366393. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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